New Member - Momo - Australia. Looking for some advice, support and help!

MadzMeow

Member
Hi everyone
First time posting, but have been doing some reading and making use of the resources here. Im really looking for a bit of help / support... advice?

So onto my cat and her journey...
My 10 yr old cat Momo (female, desexed) was diagnosed late last year with diabetes after a bit of an expensive journey. Initially i had taken her to the vet (around March 2023) due to concerns about a change in behaviour and weight gain - she has quite a round and firm belly that she only really developed in the previous 12 months. Behaviourally she had also changed - she no longer was interested in getting on the bed, she didnt climb up onto anything in fact. She was shying away from pats, cuddles and attention.

After many blood tests, urine tests and even an ultrasound ($$$) i was told that she "probably had arthritis". I got her onto Hills Metabolic food, but she was hungry all the time. We had a few tries at Solensia (which didnt make any difference) we again did blood work and urine (i returned home after a holiday to urine all over the house), finally a dip test showed her as having elevated glucose (15 mmol/L). So immediately started insulin (2 units x twice daily).

I decided to change vets (primarily because i was really pissed off that i had essentially gone through 8 months of tests that somehow missed the glucose issue, and giving her medication that maybe she didnt/doesnt need...) and through this new vet we are on a better path... (sort of)

At this new vet, I have done a whole bunch of blood tests, urine tests, got her one of those glucose monitors that only worked for about 48 hours (more $$$). About a month ago she was looking very flat, very lethargic, not interested in food so i rushed her back to the vet only to find out she was really constipated?!! More vet bills. Then a fortnight ago I believe she had a bit of a hypo episode - she was panting, seemed wobbly on her feet...definitely not herself. So following the great advice here - got some sugar water into her, some high carb food (she was eating still thankfully!) and decided to drop her insulin amounts. The vet was not that happy that i did this, but i stood my ground. and no, i wasnt going to let them do more blood tests at that point.

So where am I now...
Momo is on primarily wet food (raw kangaroo, chicken hearts, some canned tiki and fancy feast pate) with some expensive freeze dried bikkies. I am feeding her small amounts approx every 4 hours. She is on 1 unit insulin, twice daily. She also is getting metacam for her arthritis and i am also giving her osmolax for constipation. Her levels when tested at the vet are still around 15mmol/L, but i havent tested her at home.

She still has her firm, round belly and she hasnt lost much weight, if any. She still sometimes urinates outside the box (like literally, her bum must be sticking out of the side of the litterbox!!).

I really want to start on the glucose testing at home and would love to get her to a place where she is in remission... but its hard. I would love to know if its possible... and how long it might take. I want her to feel better!

I am also curious about anyone else's cats who may have had the same kind of journey - she didnt have the big weight loss as a sign (in fact its the opposite!), she did become hungrier and thirstier. And curiously her meow has changed...i think it might change when her levels drop actually.

Am i on the right path? what else can I do? is remission possible? Is 15mmol/L really high?
and also are there some resources written for Australian pet owners because i get very confused with pounds and different glucose numbers!!

Sorry for the long post, but thank you for taking the time to read it!
 
Hi and welcome to the forum
I live in Australia, in Sydney.
Can you tell me what type of insulin you are giving Momo?

I am glad to hear you are going to be hometesting.
That is the only way to keep Momo safe.
I would not buy an alphatrak meter (pet meter). I would look at one of the human meters which are much cheaper to run.
Abbott has a Feestyle optium Neo meter which is good.
Another one is the Accu-chek meter
You will also need a box of 100 test strips to go with the meter and a box of 100 lancets. Try and get size 26 or 28 lancets.
And get some cotton balls to hold behind the eat when testing.

Are you feeding a good meal before every dose of insulin and then giving at least 2 or 3 snacks in between the cycles?

I am going to give you some links

HELP US HELP YOU you will find the spreadsheet, the signature, the hypo box and other useful info in this link

HOMETESTING HINTS AND LINKS

INFORMATION FOR AUSSIE CAREGIVERS

You will find that the blood glucose taken at the vets will be higher than what you take at home becasue of stress the cat is feeling at the vet.
15 mmol/l (270) is certainly above the normal range for a cat but is not excessively high.
Before you think about remission you need to think about getting Momo regulated. That is the first step. And it is possible. The best way you can do that is to be hometesting, having a good insulin, feeding a low carb food and following one of our dosing methods.
Ask lots of questions.
 
Thanks so much for these links and help ☺️ I have added some of her blood tests from the vet that I have on file already

Momo is currently on 1 unit of glargine/lantus morning and night.

and I've got myself and Accu Chek that I am planning on doing a glucose curve from tomorrow...but maybe I can start testing this afternoon/evening?

Given that Momo is a bit chubby for her size (she's ~6kg), should I be aiming to drop her weight or get her regulated first? if she's regulated, will she be less hangry?
 
Thanks so much for these links and help ☺️ I have added some of her blood tests from the vet that I have on file already

Momo is currently on 1 unit of glargine/lantus morning and night.

and I've got myself and Accu Chek that I am planning on doing a glucose curve from tomorrow...but maybe I can start testing this afternoon/evening?

Given that Momo is a bit chubby for her size (she's ~6kg), should I be aiming to drop her weight or get her regulated first? if she's regulated, will she be less hangry?
Hi Madz
Great you have an accu chek meter and are wanting to test.
Rather than doing a curve tomorrow, I would concentrate on getting a Preshot BG every time and at least one test in every cycle. That will give us more information than one curve.
Glargine is a great insulin for cats. Are you using a syringe to give the doses?
I would not be worrying about her weight atm. I would concentrate on getting her into better numbers. once she is in better numbers she won’t be as hungry. ATM she is not able to utilise all the nutrients in the food so is hungry all the time.

Have a look at our 2 dosing methods for glargine. Following one of those will get you into better numbers than following the vet … sorry to say this but it is true. We love vets but if you are hometesting following our dosing methods is much better:)
Dosing methods below
 
DOSING METHODS

with the blood tests you posted. Should the first one be 2025?
Also can you add the normal range for each test please. Australian tests are often different to the US so the normal range of each is important. Thanks.
 
I have done some testing, but sheeeesh its not easy, poor baby. Im terrible at getting a jab in, and she is not happy to be cuddled and poked... hopefully over time i will get better. I have updated her spreadsheet with those details. i think that some of her results might be a bit higher because it took me a while and we were both cranky and stressed :(

I am using the Optisulin Solostar (looks like this https://encrypted-tbn0.gstatic.com/...H0FxkdJSCqc-tlvjSbCf95KB3Pss83UEnEMQ&usqp=CAU)
 
Well done getting the SS and signature up and running.
It is always a bit hard on the beginning to get the blood for the tests, but it will get a lot easier.
Are you offering a treat every time you test?
Are you warming the ear first?

So that you can give smaller doses than 1 unit, you will need to buy some insulin syringes. We can't buy 1/2 unit syringes in Australia but these are the syringes you need to get. If you are using the solostar pen you can only go up in 1 unit doses which is too much. We recommend going up in 1/4 unit increments.
U100, 3/10 ml, 30 or 31 gauge, 6 or 8 mm insulin syringes. There are several brands available and you can buy them at pharmacies and online. But make sure they are the above ones.
Here is a link to the syringes you need
https://www.glassvials.com.au/needl...8mm-bd-ultra-fine-ii-syringes-bulk-packs.html
 
Ok! thanks so much for that link.
Do I need to ask my vet for a new insulin script? or how would I use the solostar with these needles?

As for the testing. it went a little better this evening. I used some antiseptic cream that has a numbing agent so I put some on her ear about 5 min before having a go and also used some warm water to get the blood flowing. She just is a bit of a grump when I try and whinges at me, even with treats! But we got there

I'm actually taking her to the vet tomorrow...I believe she has a UTI because she has been peeing in odd places for the last couple of days. VERY FRUSTRATING especially when it's right beside my bed in the middle of the night!! So I went and got some urinalysis (?) strips and I did a dip urine test that showed some indicator of blood in her urine...poor darling! maybe that's why she's been so grumpy ...
 
Ok! thanks so much for that link.
Do I need to ask my vet for a new insulin script? or how would I use the solostar with these needles?

As for the testing. it went a little better this evening. I used some antiseptic cream that has a numbing agent so I put some on her ear about 5 min before having a go and also used some warm water to get the blood flowing. She just is a bit of a grump when I try and whinges at me, even with treats! But we got there

I'm actually taking her to the vet tomorrow...I believe she has a UTI because she has been peeing in odd places for the last couple of days. VERY FRUSTRATING especially when it's right beside my bed in the middle of the night!! So I went and got some urinalysis (?) strips and I did a dip urine test that showed some indicator of blood in her urine...poor darling! maybe that's why she's been so grumpy ...
If she has a UTI you need to get that treated asap in diabetic cats. Make sure the vet sends off a sample to check which antibiotic is needed.
If there is blood in the urine, it is possible she has FLUTD, google it for more info. My diabetic cat Shane had FLUTD.

Not sure I would be using numbing cream on a cat. Not sure how safe it is. She shouldn’t really be feeling it too much. Just keep preserving and giving a treat. When I first started, I used to give Sheba a treat as I was testing so she had her face in the bowl eating when I tested.

Is she eating well? Ae you giving snacks as well?

No you don’t need a new script from the vet for more insulin. Here is how you draw up the dose. Make sure you keep the pen in the fridge.

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No, don't use first aid ointment that contains numbing cream or even pain relievers. See this thread: https://felinediabetes.com/FDMB/threads/warning-about-neosporin.242196/ Not sure if the brand Neosporin is sold in Australia but there's probably a similar first aid ointment available there.

A lancet prick really doesn't hurt the cat at all. If you're using a lancet device, set the depth setting to the lowest one that will give you blood after a good warm up of the ear. The lancet itself is a one time use only thing but you might be able to get a few uses out of it before it gets dull. Dull needles will hurt.
 
so we now have her on some antibiotics, but the vet doesn't think that it's a UTI... apparently her pee is only showing red blood cells, not any bacteria or white blood cells. basically we are rising her with the medicine for ten days, but they are recommending an ultrasound to check if it's bladder / urinary tract related. $$$$$

in the immediate term though, the issue is the excessive, inappropriate peeing! Middle of the night, flood beside the bed. during the day this isn't happening, but at 2am/3 am/4am it is. it's driving me insane. I have a clean, accessible litter tray upstairs for her to use at night, I'm using puppy pads to try to help with cleanup, I've tried blocking access, I have a feliway. I'm using Nature's Miracle to clean it up. Its only happening on my side of the bed, not my partners. and it's multiple times during the night. I end up moving downstairs to the couch and she follows, but doesn't pee in weird spots down here...?

I'm going crazy dealing with it. Is it stress/anxiety? is it the diabetes? is it bladder related ? wtf.

(posting from the couch at 5am)
 
If you figure it out, let me know. My cat will poop outside of the box... after he pees in the box :facepalm: Sometimes he'll pee right in front of the box. I have puppy pads on top of the litter mat now. The vet says it's behavioral. There are no issues between the cats, nothing has changed with the litter box or litter, no new routine :confused: I keep toying with the idea of hiring an animal communicator to "talk" to my cat and see why he keeps going outside the box.

Have you tried a litter attractant like Dr Elsey's? It doesn't work for my cat but maybe it will work for yours.
 
Sheba had an ultrasound, admittedly 8 years ago but it only cost me $100 at the vet surgery.
I think it’s a good idea to get one done as it can confirm or not if she might have FLUTD.

Can you shut her in the laundry during the night?
Maybe beside your bed she can smell where she is peeing and thinks it is ok to do it there.
I would try something else to clean it up.
Google it and you might fine what else you can use.

I am looking at the SS and you done have any doses of insulin added. Can you put in the dose please so we can see.
When did she actually start the Lantus? How many days has she been on it now?
 
Whoops! updated now - she's been on 1 unit Lantus since 23 Feb, but she was previously on 2 units from early December 2024 - around 4th I believe.

I unfortunately can't lock her out of the bedroom, but I tried blocking her ability to get to the same spot .. she just pee'd right at the barrier ‍♀️ will see what else I can do.

and I wish it was only $100! Last one I did in August 2024 was $1000 and this one will be the same price :( I have called around vets and that seems to be the going rate unfortunately
 
Whoops! updated now - she's been on 1 unit Lantus since 23 Feb, but she was previously on 2 units from early December 2024 - around 4th I believe.
Can you get some mid cycle tests in?
Even a before bed test is helpful. Lantus dosing is based on the lowest point in the cycles not the Preshot.
How long has she been on the 1 unit? If we could see some of that mid cycle data we might be able to recommend an increase.

I unfortunately can't lock her out of the bedroom, but I tried blocking her ability to get to the same spot .. she just pee'd right at the barrier ‍♀️ will see what else I can do.
Ugh! Frustrating. Sounds like something is attracting her to that spot. Such as her previous pees. Some of those products which are supposed to get rid of the problem, don’t.
and I wish it was only $100! Last one I did in August 2024 was $1000 and this one will be the same price :( I have called around vets and that seems to be the going rate unfortunately
That is outrageous. My vet did it in the consulting room with me holding Sheba. I hope it gives some answers.
 
If you figure it out, let me know. My cat will poop outside of the box... after he pees in the box :facepalm: Sometimes he'll pee right in front of the box. I have puppy pads on top of the litter mat now. The vet says it's behavioral. There are no issues between the cats, nothing has changed with the litter box or litter, no new routine :confused: I keep toying with the idea of hiring an animal communicator to "talk" to my cat and see why he keeps going outside the box.

Have you tried a litter attractant like Dr Elsey's? It doesn't work for my cat but maybe it will work for yours.
URGH its the worst.... she will use her tray (one of 6 available to her!) and then it is just at night that she is peeing beside the bed in the middle of the night :facepalm:.... when im asleep :arghh:! Which is why i am wonder if it is more behavioural ? Anxiety perhaps? or maybe just laziness... but YUCK. I dont want a litter box in my bedroom.... Howerver, I did manage to block her access to the bedroom last night and she had used the litter trays overnight as normal...Why are cats so damn difficult to decipher!
 
Can you get some mid cycle tests in?
Even a before bed test is helpful. Lantus dosing is based on the lowest point in the cycles not the Preshot.
How long has she been on the 1 unit? If we could see some of that mid cycle data we might be able to recommend an increase.

I had to head to the office today so didnt have time to test today but will try that when i get home - do a pre-bed test. And im working from home tomorrow so should be able to do the middle of the cycle during the day

Ugh! Frustrating. Sounds like something is attracting her to that spot. Such as her previous pees. Some of those products which are supposed to get rid of the problem, don’t.
I have actually ordered a spot cleaner thing to try to really give it a good go at getting rid of any semblance of the smells... but will have a look online at what else might help.

That is outrageous. My vet did it in the consulting room with me holding Sheba. I hope it gives some answers.
It sure is... and its disheartening to know that it might not even show anything or it might show something that leads to more expensive tests or procedures... I mean, i love my cat but she is crippling me financially at the moment!!! ARGH When your cat was diagnosed with FLUTD, how was it managed? what was the treatment? im wondering if its worth trying some things before spending another $1000 + on some tests.
 
even show anything or it might show something that leads to more expensive tests or procedures... I mean, i love my cat but she is crippling me financially at the moment!!! ARGH When your cat was diagnosed with FLUTD, how was it managed? what was the treatment? im wondering if its worth trying some things before spending another $1000 + on some tests.
It is mainly managing stress, using feliway infuser or collar, cosequin for the bladder wall and also a weekly then monthly injection of … the name it’s escaped my mind but I’ll post it when I remember. You could try those first and see if they work. The idiopathic cystitis usually comes in flares then settles down.

She could also just be confused as to why she is peeing so much atm. Diabetic cats do pee a lot until the BGs get more under control. If it’s gone along at the same time as the diabetes diagnosis, it is probably linked
 
Thanks Bron - I really appreciate your insight with this situation... the vet is helpful, but it's not like you can have a direct line to them to explain things.

sometimes it feels like I'm reading into things too much, or not enough at all. Are her levels too high? am I feeding the right food? is she stressed...is her behaviour different? is she lethargic because of the diabetes or is it just a hot day. That sort of thing...I know I'm stressed about it! I have had multiple cold- sores the last few weeks which I only get when I'm rundown and anxious :(
 
One question I do have about the pee situation... and her levels... is 1 unit (2 times per day) enough? or is the excessive peeing an indicator that it should be increased ? how do you know when to increase or decrease? above 15mmol/L give two? or is there no easy way to determine that
 
Have you bought the syringes yet?
Are you still testing before every dose? I can’t see any for the last few shots.
And don’t forget to get those all important mid cycle tests. As that is what the dosing is based on.
It is looking like she needs an increase BUT we need those tests I mentioned above first. And you would only go up to 1.25 units not 2 units

Did I mentioned testing for ketones? If she is lethargic please do test for them. It’s a good idea to do it anyway if a cat is not regulated. you can buy a bottle of Ketostix from a pharmacy and follow the directions on the bottle.
 
I have got those syringes on order - fingers crossed they arrive today!
As for testing - you're right. I wasnt able to do it yesterday morning or this morning. Momo was not having a bar of it this morning :banghead: after about 10 minutes of trying, we were both frustrated and stressed and i had to give up. I hope i can get better at it because it is really not going that great. My plan is to get my partner to help me get the mid-cycle one today. Maybe i could even try her paw pad instead... idk

I have some Multistix urine tests that also include checking for ketones which i have been using and it all looks ok so far.
 
ive just binge-watched a bunch of the videos on home testing so im feeling more hopeful about getting it done quickly and painlessly for both of us!!
 
I have some Multistix urine tests that also include checking for ketones which i have been using and it all looks ok so far.
Excellent

As for testing - you're right. I wasnt able to do it yesterday morning or this morning. Momo was not having a bar of it this morning :banghead: after about 10 minutes of trying, we were both frustrated and stressed and i had to give up. I hope i can get better at it because it is really not going that great. My plan is to get my partner to help me get the mid-cycle one today. Maybe i could even try her paw pad instead... idk
Are you letting her eat something while you test?
When I first had to start testing on my own, I would kneel on the ground, have everything ready then put Sheba between my knees, with her butt towards me, so she was facing the same way as me. If she tried to back away she couldn't . I gently held one hand on her chest between her neck and front paws, gave her the food and pricked then tested her. Later on as she got used to it she would come running when she heard me at the testing equipment as she knew that meant a treat. And she would give no indication she felt it when I pricked her ear. She would be lying in her bed and I would come up and do the test in less than 30 seconds.
 
Ok so we got the mid-cycle test! wahoo! I used snacks, a partial burrito, my legs and did a quick jab in the "sweet spot" and it was all over and done with without too much of an issue. PHEW
It was done at +7hr :30 min (i had a meeting i couldnt get out of) and in terms of the result though - it was 22.0 which seems high? i guess its hard to know though without the context of the morning one. Will test again at 5:45pm
 
Ok so we got the mid-cycle test! wahoo! I used snacks, a partial burrito, my legs and did a quick jab in the "sweet spot" and it was all over and done with without too much of an issue. PHEW
Fantastic!!
was done at +7hr :30 min (i had a meeting i couldnt get out of) and in terms of the result though - it was 22.0 which seems high? i guess its hard to know though without the context of the morning one. Will test again at 5:45pm
Yes, hard to know when we don’t have the AMPS.
Still, it’s all good data.
 
Alrighty, just did the next test and it showed 22.8.
Safe to give 1 unit @Bron and Sheba (GA) or should I increase to 2? (the syringes haven't arrived today unfortunately!)
Only just seeing this sorry.
I would not increase to 2 units. The depot should be full now. With those red BGs today I think most likely Momo has dropped lower somewhere in the last day or two and you have missed it. She could well be bouncing from the lower than she has been BGs.
 
Thanks Bron :)
Managed another successful test this morning. She is still sitting around similar numbers. Unfortunately I am in the office so cant do the midday test, but if the result is similar this afternoon (22/23mmol/L) should i increase her dose to 1.25 units?

Also happy to report that i got the new syringes delivered today - yay!
 
Thanks Bron :)
Managed another successful test this morning. She is still sitting around similar numbers. Unfortunately I am in the office so cant do the midday test, but if the result is similar this afternoon (22/23mmol/L) should i increase her dose to 1.25 units?

Also happy to report that i got the new syringes delivered today - yay!
Can you get a few tests in during the cycle this pm. Id like to see those before suggesting an increase.
If you get home and can get some tests in before the PMPS that would be helpful too.
 
I managed to get one at 11hr 15 and it's 21.8
:)

Just tested and she was 24.6 - I think this is the highest I have seen it. Have given her 1 unit
 
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So I did testing today and she seemed to be quite consistently sitting around 22. She also was peeing a lot today...and was a bit off in her behaviour. Decided that I would increase her insulin just a little bit, from 1 unit to 1.25. Hopefully it helps her out.
 
@MadzMeow
Hi Madz on your spreadsheet up top can you put Lantus where it asks current insulin , the Meter you are using and the method you are following. If you are feeding any dry you will have to follow SLGS method
. Can you add it to both the world and US tabs . So you can fill that in also .
Can you add the method and name of the meter to your signature also. On your US tab the date diagnosed is cut off . Can you put 12/2024 like you have on your World tab .
To add these things to your signature just tap on your name up top then tap on signature add the information then tap save . Thanks Madz

Momo is a gorgeous kitty :cat:
 
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@MadzMeow
Hi Madz on your spreadsheet up top can you put Lantus where it asks current insulin , the Meter you are using and the method you are following. If you are feeding any dry you will have to follow SLGS method
. Can you add it to both the world and US tabs . So you can fill that in also .
Can you add the method and name of the meter to your signature also. On your US tab the date diagnosed is cut off . Can you put 12/2024 like you have on your World tab .
To add these things to your signature just tap on your name up top then tap on signature add the information then tap save . Thanks Madz

Momo is a gorgeous kitty :cat:

ok will do when I get to my computer, rather than on my phone

I have increased her dose to 1.25u the last couple of days as I felt she needed more. How long does it usually take to see if it's had any effect? her numbers don't seem to have much of a drop at all throughout the day
 
Madz, have you looked at our 2 dosing methods for glargine? As you are feeding dry food, you will have to go with the SLGS method.
Here is the LINK
You will get much better results if you choose one of these methods and follow it.
Treating feline diabetes is a marathon not a race, so there is no quick fix. We all had to learn to be patient. It can be frustrating but….

I can see you are feeding 15%dry Tiki which will be high carb. We don’t have any low carb dry in Australia.
Do you think you could eliminate the dry? That could make a big difference.

Looking at the SS I see you gave 0.5units last night? Why was that?

If you eliminate the dry food you could do TR dosing method. It is a more aggressive method and usually gets faster results as you are able to increase each 3 days if necessary.
But until then you would need to follow SLGs which means you can only increase the dose every 7 days.
 
Actually, really terrible.
unfortunately Momo went into a spiral the last couple of days and her uncontrolled diabetes took her. we had to make the devastating decision to put her to sleep today.

totally heartbroken right now.
 
Oh this is heartbreaking news. What happened? I am so sorry.
You must be devastated. :bighug::bighug::bighug:

She started to go downhill earlier this week and despite going to the vet Tues / Wed / Thurs morning for treatment & tests, she was far too unwell. The emergency vet specialist believed it was the result of uncontrolled diabetes that caused her lung to fill with fluid, kidneys go into overdrive and the future prognosis wasn't good. Poor little darling. So we had to make that heartbreaking decision to not let her be in pain anymore. She was a very special cat.

My other cat is now having to deal with all of my cuddles and tears.

If anyone in Melbourne / Australia needs some supplies (90 x u100, 3/10ml needles) let me know.
 
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